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Home My Public Portal About5833 GOLDEN WEST AVE_Electrical__ DS S-A 7-40 29M APPLICATION FOR PERMIT • 'DEPARTMENT. OF BUILDING AND SAFETY COUNTY'OF LOS ANGELES ELECTRIC •WM. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO, I GROUP + ZONE PERMIT No 'WIRING FIXTURES SERVICE___, RECEIVED BY READY FOR DATEISSUED RANGE HEATER POWER _ [��J,� FIRST INSPECTION �/�- SIGNS MISCELLANEOUS —' �l J ��%3 _1APPLICANT, /N HEAVILY OUTLINED PORTION �O�NLyY• Q NAME /Yf .q /1 /. ADDRESS it ADDRESS ' uie J��1 1� / LOCALITY �.y/� �¢+ NEAREST W CITY 7 / /TEL NJ? A,�YI+�® GROSS ST,. A 'COUNTY/ ':' CERT. NO. [� .► EXPIRES ��/fj/I��'�7'1 '1% NAME DESCRIPTION OF WORK Z ADDRESS NUMBER PF-OUTLETS ON CIRCUITS LOCATION BY ROOMS CITY .-o"ZA, �� TEL NO: • LIGHT OUTLETS II6W.1 PLUGS IrIXT I AM THE LEGAL POSSESSORA OF THE ABOVE LOS CIRCUIT I A I g C D I E k F I G H I ANGELES COUNTY CERTIFIpCpAT�E,'OF QUALIFICATION/. LIVING ROOM I ' LLECTRICIAM. I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED DINING ROOM __ ABOVE. BRFST. RM. _ OWNER. � BATH CORRECTIONS ENT. HALL HALL NO. I• __ FRONT PORCH OUTSIDE, KITCHEN SERV. -PCH. J Q BORM...NO. �4 CLOSET d A BDRM. NO. T X ! - O CLOSET J TOTAL NO. OF OUTLETS / ' !$ ,gra APPROVALS NO. OF FIXTURES $ 2G DATE INSPECTOR'S NAME NO. OF MOTORS H. P. $ CONDUIT NO. OF SIGNS TRANS. $ WIRING (�— -yS W RQ NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS S POWER IPERMIT FEE $ UTILITY CO. NOTIFIED TOTAL FEE `S o� FINAL 7rA'63�,Ei&6 l ,78) 'APPLICATION I'OR ELECTRICAL "PERMIT',, _ COUNTY OF,LOS ANGELES_ _ - ;,�,. ... D SAFETY., � BUILDING AN -•"f FOWAPPLICANTTOFILL'IN `JOB s _ New Ree dentia) Bldgs &,Pools } EACH NO - -FEE :ADDRESS.— � �5 1 &_2'�Family,Sq Ft- $ 025 — $ LOCALITY 'Multi-.famil'y'Sq :Ft'- CROSS — "' NEAREST , a Residential,SwLmming'Pools, 25"00 CROSS ST OWNER'ORNAME. -, ,FIRM 1Outletsc�� ,ReLight Sw;� " U ` AIL' � i 50First 20, -, MDRESS. y r� ~ Sotbl No �` - Additional•. 30." 'CITY - m 4 �• Tel, ��^�%��ti r s. -f PLAN CHECK Lighting Fixtures Fir"st,20 50 " ADDRESS dditional 30 A _:: _- - -•- -_. :_� i,. _ �Totol,No CITY Tel'No A' Fixed.Appliances Not Over 1 HP' - PERMbT x�«* •, - * r - ^^-' Range_Heater_D W APPLICANT, Ove '�Dry re W M-z -ADDRESS- Top _FAU W H_ CITY Tel 'No" 'a Hood—Fan ,Other �_ LICENSE OR =Disp'T—_Room Air gond 2 50 REG NUMBER - _: Cldss _ I HEREBY ACKNOWLEDGE THAT I HAVE-READ THIS APPLICA ^Power Appo�atus&Large'Appljonces ti TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO " COMPLY WITH, ALL',COUNTY,^ORDINANCES-AND'STATE CAWS2 9% Size&�ype HP, KW, KVA,or KVAR 50REGULATING ELECTRICAL WIRING Up to 1_Incl, J -I HEREBY CERTIFY-THAT:I-A'M'PROPERL'Y REGISYERED°A'ND/OR',—V Over 1 tofuIncl 5 00 �S LICENSED AS"REQUIRED BY LOS ANGELES COUNTY AND STATE OF Over-1.0 To 50 Incl 1.2 50 CALIFORNIA OR THAT I AM,!THE_LEGAL OWNER OF THE_ABOVEI 25 00 DESCRIBED RES ID IAL PRO Over 50 to 100 Inc PERMIT EE__ " Over-l'00 - 40 00, - -k—.6 SIGNATURE; N Services DISTRICT'NO" ip CES$E Y." 0-200 Amp Under 600 V 12 50' Lti✓ 201`1000'Amp-Under 600 V -'-2 5 00 Over 1000 Amp or Over 600 50 00,'V Z Temp Powe}-Pole&A' 1000 10 00 Sign with One Branch Circuit, 1000 Additional Sign Branch Circuits` j; '" 2'00- 'INSPECTION ' > a. a o oo� INFORMATION ' Misc Conduits&ConductoFs. ON REVERSE Other,(See'(tompleteFeeSchedule) 'i+ -SIDE__ -- -- ,^ 9.t,o.o 2,200', PERMIT,FEE (Sub-Totoll + i•;s ' _ Z o -2 2,&,0 5 PLAN,CHECKING FEE ;s (One Fourth Permit'Fee) O PERMIT ISSUING FEE v $7 od' .' ' � . .G , ' x0'17.G 7 g TOTAL,FEE INSPECTION FINALED arc r, �( / �j W !1 date ��J�(/�./� By 76A663-CE606 3-69 I APPLICATION FOR ELECTRICAPPERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER / BUILDING AND SAFETY DIVISION ADDRESS �Lc� pct✓ �� JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY NEAREST l FOR APPLICANT TO FILL IN CROSS ST. _�� (J x•47, `C, NO. EACH FEE RECEIPT. $ $ OWNER ,j��i1 �/� /1.' MAIL LIGHT TOTAL FIRST 20 20 ADDRESS SWITCH OVER 20 .10 CITY TEL NO. PLAN CHECK LIGHTING TOTAL FIRST 20 ,20 APPLICANT ADDRESS FIXTURES OVER 20 .10 RANGE_DRYER_WTR HTR. CITY TEL NO. f STA. COOK_DISP. ,�F.A.U. CONTRACTOR ry _� Cj�/ (✓j �� --- SPACE HTR AIR COND. ADDRESS CLOTHES WASH._DISHWASH. CITY ytJ / y'f 77 TEL.NO FAN OTHER 1.00 LICENSE NO. �C' �� iS.� CLASS.,� MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION IND. HEATERS, ETC. HP. KW. KVA. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING 0 - 00 I HEREBY CERTIFY HAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REOUI RE B LOS ANGELES COUNTY AND STATEOF 1 - 10 3.00 CALIFORNIA OR THAT 1 AM THE LEGAL OW ER OF, NO INTEND TO RESIDE IN, THE ABOVE DES RI BED RESIDE,N IAI- PR PER TY. 0 10 - 50 5 00 n If J 1 V SIGNATUREL�C.�CI,.' � m 50 — 100 10.00 OF PERMITTEE ✓ ��L 1� 0 H 100 - 500 1500 DISTRICT fI O. R ZON PR C E B w 1 a. SIGN,GAS SIGN AND ONE CIRCUIT 3.00 u7 TUBE, OR Z MARQUEE ADDITIONAL CIRCUITS 1,00 NOTES SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 SERVICE OVER 600 VOLTS OR 200 AMP 5 00 TEMP SERVICE, POLE, &APPURTENANCES 3 00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP POWER POLE UNDERSLAB WORK ROUGH CONDUIT WIRING PERMIT FEE (SUB TOTAL) FIXTURES POWER AUTHORIZED PLAN CHECK FEE (50% PERMIT FEE) ' PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED� -R ,0 � SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL —2If -70 TOTAL FEE JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK M.O. CASH PERMIT VALIDATION CK. M.O. CASH 6 0 24 2 D 6.0'0N- SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE ///JL 7,6p§5i�C806 10/72 APPLICATION FOR ELECTRICAL _PERMIT �J COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER = JAO BUILDING,AND SAFETY DIVISION 4 LOCALITY,NEAREST FOR APPLICANT TO FILL IN _CROSS ST OUTLETS NO EACH FEE OWNER OR FIRM NAME - 1 RECEPT- $ $ MAIL I � ADDRESS 7,7 �.. LIGHT J TOTAL FIRST 20 .,� c / OVER 20 /S CITY > TEL NO SWITCH _ PLAN CHECK - LIGHTING ,FI'RST 20 �D APPLICANT ' TO L ,OVER 20 ADDRESS FIXTURES I 10 - RESIDENTIAL APPLIANCES •' f CITY TEL NO RANGE DRYEP_WTR 'HTR PERMIT' „APPLICANT STA COOK o DISP �F A.U, L� ADDRESS, SPACE HTR AIR COND• A CITY C TEL,NO CLOTHES-'WASHDISHWASH LICENSE O - CLASSf� I 9 1 Jj REG. NUMBER �� - FAN BOTHER /1 I HEHEB� ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION yJ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE *LAWS'REGULATING IND- HEATERS, ETC HP KW KVA ELECTRICAL WIRING SIZE & TYPE OVER TO 1 HEREBY CERTIFY THAT I AM 'PROPERLY REGISTERED AND/OR 100 LICENSED AS REQUIRED BY LOS ANGELES,COUNTY AND STATE OF CALIFORNIA OR-THAI I AM THE LEGAL OWNER 0 THE ABOVE ' "1 - 1O300 DESFRIFED RESIDENTIAL PW PERTY PERMITEE �"'",w .V 10 — 50 500 SIGNATURE �C Q 50 —•100 'V 1000 DISTRICT'-NO. PROCESSED BY 1U � ,. • 100 � :— soo lsoo ' •� z_ SIGN, GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE' INSPECTOR'S SIGNATURE TUBE, OR - MARQUEE ADDITIONAL'CIRCUITS 100 TEMP POWER POLE / SERVICENOTOVER6o0VOLTS6R200AMP 300 - UNDERSLAB WORK' - SER'VICEOVER600VOLTS OR200AMP 1000 ROUGH CONDUIT TEMPSERVICE, POLE;_&APPURTENANCES 500 WIRING TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES - _ POWER AUTHORIZED UTILITY CO. NOTIFIED, - FINAL Ste— 27 - PERMIT FEE (SUB TOTAL) NOTES PLAN CHECK FEE ( `- - PERMIT ISSUING FEE -TOTAL FEE PLAN CHECK VALIDATION CK M 0 CASH, PERMIT VALIDATIONcK o CASH 5 3',9,c SEP 82 A 1 0.2.5 e SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE a WORKERS' COMPENSATION DECLARATION CE-80676A66310/81- APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self CE-8066 �. insure, or a certificate of Workers' Compensation Insurance, COUNTY, OF LOS ANGELES BUILDING AND SAFETY ora ftyf� o �th f (Sec 3800,,Lob C ) �J II t Po icy,No asp f Company d f{t ' FOR APPLICANT TO FILL IN JOB ❑ Certified copy is hereby-furnished EACH NO FEE ADDRESS urnisNew Residential Bldgs & Pools rs' $ _ LOCALITY Certified y b copy is filed with the countuilding inspec- ',+n'd 1-& 2-Family, Sci Ft $ dNEARET o de rtment �; f.� Mul i-family Sci Ft CROSSSST Date C% r� i Residential Swimming Pools Applicant �'O 1 WNER OR FFIIRM NAME x .4., ERTIFICATE OF EXEMPTION FROM WORKERS' MAIL Outlets 'Rec Light�Sw COMPENSATION INSURANCE '...-• ADDRESS �""' •.,.•-'•` 0 1 This section need not be com leted If the work involved b --7 First 20 the permit is for one hundred dollars ($100)or less.) Y Total No Additional -] � CITY Tel N " I.certify that in PLAN CHECK the performance of the work for which this � APPLICANT ' permit ii issued; I•sholl not employ any person in any manner so as to become subject to the Workers'Compensation Laws Lighting Fixtures First 20 ADDRESS �" `Additional Tdtal No CITY Tel No Date Applicant Fixed Appliances NohOver 1 HP PERMIT NOTICE TO APPLICANT If; after making this Certificate of a APPLICAN -F,� �+ ✓m Exemption, you should become subject to the Workers' 1Range_ Heater_D W Compensation provisions of the Labor Code, you must forth- Oven _ Dryer W M ADDRESS . with comply with such provisions or this permit shall be P Y P P Top _ FAU —W H N r deemed revoked CITY Hood Fan Other- 4e77/' Tel No .r— LICENSED CONTRACTORS DECLARATION LICENSE OR ^�.— d- Disp _'Room Air Cond `• Clas --7 O I hereby affirm that I am licensed under provisions of Chapter 9 REG NUMBER ,�. v.1- �. (commencing with Section 7000) of Division 3 of the Business DISTRICT NO PROCESSED BY Power Apparatus& Large Appliances ';and Professions Code,and my,license is in full fort nd effect j�i, f I / Size &Type HP, KW, KVA, or KVAR ! yL7 1d;` } j 5 License 42 7I Number Lic Class Up to 1 Incl FINAL f - �� J r P Over 1 to 10 Incl"- 1 "" DATE 1: Contractor Date Over 10 to 50 Incl FINAL VALIDATION ❑ 1 am exempt under Sec Over 50 to 100 Inc BY B &P C for this reason Over 100 Date Services, Swbd , MCC& Panelboards ` 0 -200'Amp Under 600 V Signature" 201-- 1000 Amp Under 600 V ❑ Exemption for Reg Mamt El-ect Over 1000 Amp or Over 600 V SINGLE FAMILY Temp Power Pole & Appurtenances x u im ,a�l� t HOME OWNER-BUILDER DECLARATION Sign with One Branch CGrcuit {; It 1 t, " I hereby affirm that I am exempt from the Contractors License Additwnaf,Sign Branch Grcuits (fl fe+1pt>� Law for the following reason (Section 7031 5, Business and o' ®t��i� � f Professions Code) t I ( r ❑ Misc Conduits &Conductors ' M' I, as owner-of the property, will do the work and the - ' structure is not intended or offered for sale (Section Other (See,Complete Fee Schedule)_ , 7044, Business and Professions Code) CONSTRUCTION LENDING AGENCY ' I hereby affirm that there is•a construction lending agency for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) � i (Sec 3097, Civ Ci) , ` PLAN CHECKING FEE j Lender's Name PERMIT ISSUING FEE- Lender's Address I certifjhat I hale\read this application and state that the TOTAL FEE above iy�'formation is corre t-1 agree to comply with all County, ordi �llces and State ja�s reg,,Vting,,Eleoancal wiring, and her y authon e repesentati es of)His County to enter an th bave- nh n d propert � inspechon purpose �' t / SEE REVERSE FOR-EXPLANATORY LANGUAGE- Signature of Permittee D to ,7r L ! �• f V&ffi(o that 11h ve a CION DECLARATION CE-806 10/81 'APPLICATION FOR ELECTRICAL PERMIT I hereby affi;pi that I have a cerlifioate of consent to self CE-806G irrsu(e,'or,b certificate of Wotkeis' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY ora r d_ o y the of (Sec 38 b�Cj Po i Company .'!6C /�� FOR APPLICANT TO FILL IN JOB /try ❑ Certified copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE ADDRESS LOCALITY n Id Certified copy is filed with the count building inspec- 1 8 2-Family, Sq Ft $ _ $ do dep rtment Multi-family Sq Ft NEAREST Residential Swimming Pools' CROSS ST � f Date Applicant -, _ �l OWNER OR I / b �^ FIRM NAME / /1J >'C,/ l• RTIFICATE OF EXEMPTION FROM WORKERS' �� r MAIL Outlets Rec Light Sw �=- ADDRESS �y ✓ COMPENSATION INSURANCE \ First 20 (This section need not be completed if the work involved by Total No 64 Additional '► CITY Tel N2,)4CL -� the permit is for one hundred dollars ($100)or less.) that in the performance of the work for which this PLAN CHECK I certify P APPLICANT permit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws Lighting Fixtures/ First 20 ADDRESS Total No Additional CITY Tel No Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT If, after making this Certificate of APPLICAN "' F' / Exempthon, you should become subject to the Workers' Range_ Heater_D W ` j ` C ' Compensation provisions of the Labor Code, you must forth- Oven _ Dryer — W M — ADDRESS rr with comply with,such provisions or this permit shall be Top — FAU —WH - deemed WH —deemed revoked Hood Fan _Other_ CITY -- - Tel LICENSED CONTRACTORS DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 Disp — Room Air Cond REGNNUMBER r Clas (commencing with Section,7000) of Division,3 of the Business DISTRICT NO PR BY r' Power Apparatus 8 Large Appliances and Professions Code, and my license is in full force nd eff ct O � Size 8 Type HP, KW, KVA, or KVAR v t V o U License Number / Lic Class t/ Up to 1 Incl FINAL Over 1 to 10 Incl DATE / �] V IDATION Contractd Date 666 v U ElOver 10 to 50 Incl FINAL 1.1.1 I am exempt under Sec Over 50 to 100 Inc BY N Over 100 B 8P C for this reason ' Date z Services, Swbd , MCC 8 Panelboards ► 0 - 200 Amp Under 600 V Signature 201 - 1000 Amp Under 600,V F-1Exemption 1000 Amp or Over 600 V Exemption for Reg Maint Elect -43 7 S 6 A SINGLE FAMILY Temp Power Pole 8 Appurtenances HOME OWNER-BUILDER DECLARATION # 0 0 0 ® o 'L Sign with One Branch Circ uit I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits '( 0 0 6 a 5 0 Law for the following reason (Section 7031 5, Business and c o 0 6 5 0 v Professions Code) ❑ I, as owner of the property, will do the work and the Mt sc Conduits 8 Conductors o 1.0 6=8 6 structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ , 7044, Business and Professions Code) CONSTRUCTION LENDINGAGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec 3097, Civ C ) PLAN CHECKING FEE (� Lender's Name PERMIT ISSUING FEE Lender's Address _-. I certify of I have read this application and state that the TOTAL FEE above ormation is correc agree to comply with all County Ord'r ces and State I u ing irical wiring, and here author ppr sent ti f t s Co 'nty to enter pan the ye-m ti pro t r spect n purses SEE REVERSE FOR EXPLANATORY LANGUAGE i ' Signature of Permittee D e